Topic 5: Health, disease & development of medicine - PAPER ONE Flashcards

1
Q

Define Health

A

A state of complete physical, social, and mental well-being not merely in the absence of disease or infirmity

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2
Q

What’s a communicable disease?

A

A disease that can be spread between individuals
- Can’t be inherited
- Caused by a pathogen

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3
Q

What’s a non-communicable disease?

A

A disease that can’t be spread between individuals

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4
Q

Explain why the presence of one disease can lead to a higher susceptibility to other diseases.

A

Your body/immune system may become weakened by the disease, so it’s less able to fight off others

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5
Q

What’s a pathogen?

A

An organism (such as viruses, protists, bacteria and fungi) that causes communicable diseases

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6
Q

What are the two pathways that a virus can take during the life cycle?

A

Lytic, Lysogenic

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7
Q

Describe the Lysogenic pathway.

A

1) The injected genetic material is incorporated into the genome (DNA) of the host cell
2) Viral genetic material gets replicated along with the host DNA every time the host cell divides - but, the virus is dormant (inactive) and no new viruses are made
3) Eventually, a trigger (e.g. presence of a chemical) causes the viral genetic material to leave the genome and enter the lytic pathway

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8
Q

Describe the Lytic pathway.

A

1) Virus attaches to a specific host cell host cell and injects its genetic material, USES HOST CELL MACHINERY/TAKES OVER HOST CELL
2) Virus uses enzymes and proteins in the host cell to replicate its genetic material and produce the components of new viruses
3) The viral components assemble
4) The host cell splits open (LYSES!!!!), releasing the new viruses, which infect more cells

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9
Q

Describe Chlamydia.

A

Caused by a bacteria
Can only reproduce inside the host cell
Can lead to infertility
Prevented thought usage of condoms, avoiding sexual contact, screenings

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10
Q

Describe HIV

A

Virus
Kills white blood cells - leads to AIDS
AIDS is cause by immune system deteriorating and eventually failing
Prevented by use of condoms, trying to not share needles, medication, screenings, proper treatment

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11
Q

Malaria - Pathogen, symptoms, how it is spread, how to reduce transmission

A

Pathogen: Protist

Symptoms: Damage to red blood cells and, in severe cases, to the liver

How it is spread: Mosquitoes act as animal vectors (carriers). They pass the protist on to humans without getting the disease themselves

How to reduce/prevent transmission: Mosquito nets and insect repellent prevent mosquitos carrying the pathogen from biting people

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12
Q

Stomach Ulcers - Pathogen, symptoms, how it is spread, how to reduce transmission

A

Pathogen: Bacterium called Helicobacter pylori

Symptoms: Stomach pain, nausea, vomiting

How it is spread: Through Oral Transmission e.g. contaminated water/food

How to reduce/prevent transmission: Clean water supplies and hygienic living conditions

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13
Q

Ebola - Pathogen, symptoms, how it is spread, how to reduce transmission

A

Pathogen: Ebola VIRUS

Symptoms: Haemorrhagic fever (a fever with bleeding)

How it is spread: Via bodily fluids

How to reduce/prevent transmission: Isolate infected individuals, sterilise areas where the virus may be present

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14
Q

Cholera - Pathogen, symptoms, how it is spread, how to reduce transmission

A

Pathogen: Bacterium called Vibrio cholerae

Symptoms: Diarrhoea

How it is spread: Via contaminated water sources

How to reduce/prevent transmission: Make sure people have access to clean water supplies

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15
Q

Tuberculosis - Pathogen, symptoms, how it is spread, how to reduce transmission

A

Pathogen: Bacterium called Mycobacterium tuberculosis

Symptoms: Coughing and lung damage

How it is spread: Through the air when infected individuals cough

How to reduce/prevent transmission: Infected people should…Avoid public spaces, practise good hygiene, sleep alone and have well-ventilated homes

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16
Q

Chalara Ash Dieback - Pathogen, symptoms, how it is spread, how to reduce transmission

A

Pathogen: Fungus that infects ash trees

Symptoms: Leaf loss and bark lesions

How it is spread: Carried through the air by the wind, or when diseased ash trees are moved between areas

How to reduce/prevent transmission: Remove young, infected ash trees and replant with a different species, or restrict import or movement of ash trees.

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17
Q

What are cell walls made of?

A

Cellulose

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18
Q

What are 2 chemical defences against pathogens and pests used in plants?

A
  • Produce chemicals called antiseptics which kill bacterial and fungal pathogens
  • Plants also produce chemicals to deter pests from feeding on their leaves (some of these can be used as drugs to treat human diseases e.g. Aspirin found in willow tree bark/leaves)
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19
Q

What are 2 physical defences against pathogens and pests used in plants?

A
  • Leaves and stems have waxy cuticle which provides a barrier to stop pathogens entering them/pests from damaging them
  • Surrounded by cell walls made from cellulose form a physical barrier against pathogens that make it past the waxy cuticle
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20
Q

Name the different ways in which plant diseases can be detected and identified.

A
  • Change the environmental conditions (e.g. add nutrients to soil) and observe changes in the plant’s symptoms. This shows if the plant is diseased or if the symptoms were caused by environmental factors
  • Analyse distribution of diseased plants to identify the kinds of pathogen. e.g. random distribution may suggest an airborne pathogen
  • Observe the plant’s visible symptoms
  • Diagnostic testing
21
Q

Explain the methods used in diagnostic testing to identify the pathogens causing diseases in plants.

A

Detecting antigens:
- Antigens from a particular pathogen will be present in a plant infected with that pathogen and is detected in a sample of plant tissue using monoclonal antibodies
- So, the detection of the antigen unique to a pathogen allows the pathogen to be identifies and the disease diagnosed

Detecting DNA:
- If a plant is infected with a pathogen, the pathogen’s DNA will be present in the plant’s tissues
- Scientists can use techniques to detect small amount of pathogen DNA in a sample of plant tissue to identify the pathogen present

22
Q

What are Humans’ physical defences against pathogens?

A

1) Skin acts as barrier to pathogens. if it gets damaged, blood clots quickly seal cuts to keep microorganisms out
2) Hairs and mucus in nose trap particles that could contain pathogens. Cells in trachea and bronchi also produce mucus.
3) Cells that line trachea and bronchi have cilia. Hair-like structures beat in one direction to move the mucus up to the back of the throat to be swallowed

23
Q

What are Humans’ chemical defences against pathogens?

A

1) Eyes produce a chemical called lysozymes in tears which kills bacteria on the surface of the eye
2) Stomach produces hydrochloric acid which kills most pathogens that are swallowed

24
Q

Explain what happens during the specific immune response - how to body fights off disease (responding to a specific pathogen)

A
  • Every pathogen has unique molecules on its surface called antigens
  • B-lymphocytes (type of white blood cell) produce antibodies when they come across an antigen on a pathogen
  • Antibodies bind to the new invading pathogen so it can be found and destroyed by other white blood cells (antibodies produced are specific to that pathogen)
  • Antibodies are then produced rapidly and flow around the body to find all similar pathogens
25
Explain how people can become immune to diseases (long answer)
1) When pathogen enters body for first time, response is slow as there aren't many B-lymphocytes that can make the specific antibody needed to lock on to the antigen 2) Eventually the body will produce enough of the right antibody to overcome the infection, but the person will show symptoms of the disease in the meantime 3) Memory lymphocytes are also produced as well as antibodies in response to a foreign antigen. They remain in the body for a long time and 'remember' the specific antigen 4) So, if the same pathogen enters the body again, more cells will recognise it and produce antibodies against it. This means that this 'secondary immune response' is faster and stronger. It often gets rid of the pathogen before you begin to show symptoms
26
How does immunisation work?
1) Body injected with dead/inactive pathogens. These carry antigens so, despite them being harmless, your body makes antibodies to help destroy them 2) Antigens trigger memory lymphocytes to be made as well 3) So, if live pathogens of the same type get into the body, there will already be memory lymphocytes to cause a fast secondary immune response and you're less likely to get the disease
27
What are the pros and cons of immunisation?
Pros: Herd Immunity: If a large percentage of the population are immunised, the people who aren't are unlikely to catch the disease as there are fewer people to pass it on. This helps prevent epidemics. Cons: Doesn't always work (sometimes doesn't give you immunity) You can have a bad reaction e.g. swelling or even a fever and seizures (bad reactions are very rare)
28
What are antibiotics used to treat? - why?
Only bacterial infections - they inhibit cell processes in the bacterium but not the host organism - KILL BACTERIA
29
Why do we use aseptic techniques?
Contamination by unwanted microorganisms will affect your results an potentially result in the growth of pathogens. Aseptic techniques are used to avoid this.
30
Explain the different aseptic techniques used in the Core Practical.
- Petri dishes and growth medium must be sterilised before in an autoclave which uses steam at high pressure and temperature. This kills microorganisms. - Inoculating loop sterilised by passing it through a hot flame before being used to transfer bacteria. This kills unwanted microorganisms - Lid on petri dish should be kept closed apart from briefly when transferring the bacteria to prevent other microbes getting in - Petri dish should be stored upside down to stop drops of condensation falling onto the agar
31
Explain the advantage of using monoclonal antibodies to treat cancer.
- The antibodies would only attach to cancer cells - A radioactive source can then be used to target those cancer cells - So, there are fewer effects to non-cancerous cells
32
How are Monoclonal antibodies made?
1) Inject animal with chosen antigen 2) Extract B-lymphocyte white blood cell and fuse with a myeloma (tumour) cell to form a hybridoma 3) Hybridoma can then divide rapidly and these clones produce lots of monoclonal antibodies
33
Why are monoclonal antibodies useful?
You can make them to bind to anything you want. So, you can target specific cells in the body (e.g. cancer cells)
34
Name the type of cell that produces the monoclonal antibodies used to treat cancer.
Hybridoma Cell
35
What are the stages in the development of new drugs?
Discovering the drug Developing the drug using..... Preclinical testing Clinical testing Approving drug by medical agency
36
Explain Preclinical testing
1) Drugs are tested on human cells and tissues in the lab 2) Drug is tested on live animas to see if it works and how toxic it is and to find the best dosage
37
Explain Clinical testing
1) If the drug passes tests on animals, it's tested on human volunteers in a clinical trial 2) Firstly tested on healthy volunteers to make sure there are no harmful side effects 3) Drugs are then tested on the people suffering from the illness and the optimum dose is found (most effective with fewest side effects) 4) Patients put into 2 groups randomly. One is given placebo and the other is given new drug to allow for placebo effect 5) Trials are often double blind so neither the patient of doctor knows who is on drug or placebo so the doctors analysing the results aren't subconsciously influenced
38
Pros and Cons of surgery to treat cardiovascular disease
Pros: Can completely treat heart problems Cons: Drugs taken to prevent donor heart being rejected can have side effects e.g. making you more vulnerable to infection Surgery is a major procedure with risk of bleeding, clots and infection
39
Pros and Cons of lifelong drugs to treat cardiovascular disease
Pros: Can treat cardiovascular disease BY.. decreasing blood pressure and preventing blood clots Cons: HAs to be taken for whole life, serious side effects like liver damage, side effects like headaches and fainting
40
Pros and Cons of lifestyle changes to treat cardiovascular disease
Pros: Can help reduce risks of heart attacks and strokes, no downsides/side effects Cons: Does not definitely prevent problems occurring
41
How do you remember the communicable diseases?
Cute Tigers Make Silly Excited Choices
42
Explain how people can become immune to diseases (short answer)
* exposure to the {toxin/antigen/ pathogen/bacteria} (1) * stimulates an immune response (1) * production of memory lymphocytes (1)
43
Children in the UK can be immunised against whooping cough. Suggest why outbreaks of whooping cough still occur in the UK
- not everyone has been immunised (1) - immigration introduces people who are not immunised (1) - immunisation not fully effective (1) - immunity can decrease with age (1)
44
State the term used to describe the rapid growth of a bacterial population.
exponential growth
45
Houseflies can be the animal vector for the disease dysentery What pathogen causes the disease?
Bacterium
46
what are the risks of high colesterol?
- Heart attack - Stroke - Heart disease - High blood pressure
47
What do white blood cells do? (briefly)
* involved in defence against disease / part of immune system (1) * phagocytosis (1) * antibody / antitoxin production (1)
48
Explain how pregnancy tests work.
- On the part where you wee, there are monoclonal antibodies with blue beads attached, specific to the hormone HCG and are free to move around - The test strip also has monoclonal antibodies specific to HCG, by can't move around IF YOU ARE PREGNANT: - HCG hormone will bind to the antibodies on the blue beads - The urine moves up the stick carrying the hormone - The beads and HCG hormone bind to the antibodies on the test strip - So, the blue beads get stuck on the strip which turns it blue IF YOU ARE NOT PREGNANT: - Urine moves up the stick, carrying the blue beads - But, there's nothing to stick the blue beads to the test strip as the woman doesn't have the hormone HCG (so it doesn't turn blue)